Lived Experiences of Negative Symptoms in First-Episode Psychosis: A Qualitative Secondary Analysis

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Lived Experiences of Negative Symptoms in First-Episode Psychosis: A Qualitative Secondary Analysis . / Gee, Brioney; Hodgekins, Jo; Lavis, Anna; Notley, Caitlin; Birchwood, Maximillian; Everard, Linda; Freemantle, Nick; Jones, Peter B; Singh, Swaran P; Amos, Tim; Marshall, Max; Sharma, Vimal; Smith, Jo; Fowler, David.

In: Early Intervention in Psychiatry, 24.03.2018.

Research output: Contribution to journalArticle

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Gee, B, Hodgekins, J, Lavis, A, Notley, C, Birchwood, M, Everard, L, Freemantle, N, Jones, PB, Singh, SP, Amos, T, Marshall, M, Sharma, V, Smith, J & Fowler, D 2018, 'Lived Experiences of Negative Symptoms in First-Episode Psychosis: A Qualitative Secondary Analysis ', Early Intervention in Psychiatry. https://doi.org/10.1111/eip.12558

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Gee, Brioney ; Hodgekins, Jo ; Lavis, Anna ; Notley, Caitlin ; Birchwood, Maximillian ; Everard, Linda ; Freemantle, Nick ; Jones, Peter B ; Singh, Swaran P ; Amos, Tim ; Marshall, Max ; Sharma, Vimal ; Smith, Jo ; Fowler, David. / Lived Experiences of Negative Symptoms in First-Episode Psychosis: A Qualitative Secondary Analysis . In: Early Intervention in Psychiatry. 2018.

Bibtex

@article{97b9e964fcb64e71adf26f0fdd400a26,
title = "Lived Experiences of Negative Symptoms in First-Episode Psychosis:: A Qualitative Secondary Analysis",
abstract = "Aim: Exploring how negative symptoms are experienced and understood by individuals with lived experience of psychosis has the potential to offer insights into the complex psychosocial processes underlying negative symptom presentations. The aim of the current study was to investigate lived experiences of negative symptoms through secondary analysis of interviews conducted with individuals recovering from first-episode psychosis.Method: Transcripts of in-depth interviews with participants (n = 24) recruited from Early Intervention in Psychosis services were analysed thematically with a focus on participants’ experiences and personal understandings of features corresponding to the negative symptoms construct.Results: Descriptions of reductions in expression, motivation and sociability were common features of participants’ accounts. Several participants described the experience of having difficulty interacting as like being a ‘zombie’. Some participants experienced diminished capacity for emotion, thought or drive as underlying these experiences. However, participants typically attributed reductions in expression, motivation and sociability to medication side-effects, lack of confidence or active avoidance intended to protect them from rejection or ridicule, sometimes linked to internalised stigma.Conclusions: Personal accounts of experiences of reduced expression, motivation and sociability during first-episode psychosis highlight the personal meaningfulness and role of agency is these features, challenging the framing of negative symptoms as passive manifestations of diminished capacity.",
author = "Brioney Gee and Jo Hodgekins and Anna Lavis and Caitlin Notley and Maximillian Birchwood and Linda Everard and Nick Freemantle and Jones, {Peter B} and Singh, {Swaran P} and Tim Amos and Max Marshall and Vimal Sharma and Jo Smith and David Fowler",
year = "2018",
month = "3",
day = "24",
doi = "10.1111/eip.12558",
language = "English",
journal = "Early Intervention in Psychiatry",
issn = "1751-7885",
publisher = "Wiley",

}

RIS

TY - JOUR

T1 - Lived Experiences of Negative Symptoms in First-Episode Psychosis:

T2 - A Qualitative Secondary Analysis

AU - Gee, Brioney

AU - Hodgekins, Jo

AU - Lavis, Anna

AU - Notley, Caitlin

AU - Birchwood, Maximillian

AU - Everard, Linda

AU - Freemantle, Nick

AU - Jones, Peter B

AU - Singh, Swaran P

AU - Amos, Tim

AU - Marshall, Max

AU - Sharma, Vimal

AU - Smith, Jo

AU - Fowler, David

PY - 2018/3/24

Y1 - 2018/3/24

N2 - Aim: Exploring how negative symptoms are experienced and understood by individuals with lived experience of psychosis has the potential to offer insights into the complex psychosocial processes underlying negative symptom presentations. The aim of the current study was to investigate lived experiences of negative symptoms through secondary analysis of interviews conducted with individuals recovering from first-episode psychosis.Method: Transcripts of in-depth interviews with participants (n = 24) recruited from Early Intervention in Psychosis services were analysed thematically with a focus on participants’ experiences and personal understandings of features corresponding to the negative symptoms construct.Results: Descriptions of reductions in expression, motivation and sociability were common features of participants’ accounts. Several participants described the experience of having difficulty interacting as like being a ‘zombie’. Some participants experienced diminished capacity for emotion, thought or drive as underlying these experiences. However, participants typically attributed reductions in expression, motivation and sociability to medication side-effects, lack of confidence or active avoidance intended to protect them from rejection or ridicule, sometimes linked to internalised stigma.Conclusions: Personal accounts of experiences of reduced expression, motivation and sociability during first-episode psychosis highlight the personal meaningfulness and role of agency is these features, challenging the framing of negative symptoms as passive manifestations of diminished capacity.

AB - Aim: Exploring how negative symptoms are experienced and understood by individuals with lived experience of psychosis has the potential to offer insights into the complex psychosocial processes underlying negative symptom presentations. The aim of the current study was to investigate lived experiences of negative symptoms through secondary analysis of interviews conducted with individuals recovering from first-episode psychosis.Method: Transcripts of in-depth interviews with participants (n = 24) recruited from Early Intervention in Psychosis services were analysed thematically with a focus on participants’ experiences and personal understandings of features corresponding to the negative symptoms construct.Results: Descriptions of reductions in expression, motivation and sociability were common features of participants’ accounts. Several participants described the experience of having difficulty interacting as like being a ‘zombie’. Some participants experienced diminished capacity for emotion, thought or drive as underlying these experiences. However, participants typically attributed reductions in expression, motivation and sociability to medication side-effects, lack of confidence or active avoidance intended to protect them from rejection or ridicule, sometimes linked to internalised stigma.Conclusions: Personal accounts of experiences of reduced expression, motivation and sociability during first-episode psychosis highlight the personal meaningfulness and role of agency is these features, challenging the framing of negative symptoms as passive manifestations of diminished capacity.

U2 - 10.1111/eip.12558

DO - 10.1111/eip.12558

M3 - Article

JO - Early Intervention in Psychiatry

JF - Early Intervention in Psychiatry

SN - 1751-7885

ER -